锥形锁柱种植系统种植体和基台折断原因分析

doi:10.13701/j.cnki.kqyxyj.2022.06.014

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (6): 559-564.DOI: 10.13701/j.cnki.kqyxyj.2022.06.014

锥形锁柱种植系统种植体和基台折断原因分析

余正荣, 杨晶晶, 龚金梅, 胡常琦, 黄江琴, 郭水根, 魏洪武^*

南昌大学第四附属医院口腔科江西南昌 330000

收稿日期:2021-12-13 出版日期:2022-06-28 发布日期:2022-06-23
通讯作者: * 魏洪武,E-mail:Nc.whw@163.com
作者简介:余正荣(1995~),男,江西上饶人,硕士在读,住院医师,研究方向:口腔种植修复。

Analysis of Reasons for the Fracture of Implant and Abutment of Tapered Lock Post

YU Zhengrong, YANG Jingjing, GONG Jinmei, HU Changqi, HUANG Jiangqin, GUO Shuigen, WEI Hongwu^*

Department of Stomatology, the Fourth Affiliated Hospital of Nanchang University, Nanchang 330000, China

Received:2021-12-13 Online:2022-06-28 Published:2022-06-23

摘要/Abstract

摘要： 目的:分析种植体或基台折断临床原因,探讨预防方法。方法:选取9例患者,4枚发生种植体折断,7枚发生基台折断,对折断的患者是否存在副功能、冠高度空间及咬合面形态等进行统计,分析临床原因。结果:1枚种植体、3枚实心基台和2枚空心基台折断的主要原因是副功能;3枚种植体和1枚空心基台折断的主要原因是冠高度空间过大;1枚实心基台折断主要原因是咬合面牙尖斜度过大。结论:种植体或者基台折断是多种原因共同作用结果,而副功能、冠高度空间过大和修复体咬合面牙尖斜度过大会增加其折断几率,临床上应谨慎对待。

关键词: 种植牙, 锥形锁柱种植体, 种植体折断, 基台折断

Abstract: Objective: To analyze the clinical causes of implant or abutment fracture and explore the preventive methods. Methods: Four implants and seven abutments were broken in 9 patients. The side functions, crown height space, and occlusal surface morphology of the broken patients were counted, and the clinical causes were analyzed. Results: The main factor for the fracture of 1 implant, 3 solid abutments, and 2 hollow abutments was the side function. The main factor for the fracture of 3 implants and 1 hollow abutment was the excessive space of crown height. The main factor for the fracture of a solid abutment was the excessive inclination of the cusp of the occlusal surface. Conclusion: The fracture of implant or abutment is the result of multiple factors. The side function, too large crown height space, and too high cusp inclination of the occlusal surface of the prosthesis will increase the fracture probability, which should be treated with caution in clinic.

Key words: dental implant, conical locking column implant, implant fracture, abutment fracture

余正荣, 杨晶晶, 龚金梅, 胡常琦, 黄江琴, 郭水根, 魏洪武. 锥形锁柱种植系统种植体和基台折断原因分析[J]. 口腔医学研究, 2022, 38(6): 559-564.

YU Zhengrong, YANG Jingjing, GONG Jinmei, HU Changqi, HUANG Jiangqin, GUO Shuigen, WEI Hongwu. Analysis of Reasons for the Fracture of Implant and Abutment of Tapered Lock Post[J]. Journal of Oral Science Research, 2022, 38(6): 559-564.

参考文献

[1] Wittneben JG, Buser D, Salvi GE, et al. Complication and failure rates with implant-supported fixed dental prostheses and single crowns: A 10-year retrospective study [J]. Clin Implant Dent Relat Res, 2013, 16(3):356-364.
[2] Sánchez-Pérez A, Moya-Villaescusa MJ, Jornet-Garcia A, et al. Etiology, risk factors and management of implant fractures[J]. Med Oral Patol Oral Cir Bucal, 2010, 15(3):e504-e508.
[3] Sadid-Zadeh R, Kutkut A, Kim H. Prosthetic failure in implant dentistry [J]. Dent Clin North Am, 2015, 59(1):195-214.
[4] Pjetursson BE, Tan K, Lang NP, et al. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years [J]. Clin Oral Implants Res, 2004, 15(6):667-676.
[5] Yuan CC, Cortino S. Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts [J]. J Periodontal Implant Sci, 2013, 43(2):51-57.
[6] Frost HM. A 2003 update of bone physiology and Wolff's law for clinicians [J]. Angle Orthod, 2004, 74(1):3-15.
[7] Berglundh T, Lindhe J, Ericsson I, et al. The soft tissue barrier at implants and teeth [J]. Clin Oral Implants Res, 1991, 2(2):81-90.
[8] 刘堃,邸萍.磨牙症对种植修复影响及其对策[J].中国实用口腔科杂志,2013,6(2):119-122.
[9] Nissan J, Ghelfan O, Gross O, et al. The effect of crown/implant ratio and crown height space on stress distribution in unsplinted implant supporting restorations [J]. J Oral Maxillofac Surg, 2011, 69(7):1934-1939.
[10] Verri FR, Batista V, Santiago JF, et al. Effect of crown-to-implant ratio on peri-implant stress: A finite element analysis [J]. Mater Sci Eng C Mater Biol Appl, 2014, 45:234-240.
[11] Brune A, Stiesch M, Eisenburger M, et al. The effect of different occlusal contact situations on peri-implant bone stress-A contact finite element analysis of indirect axial loading [J]. Mater Sci Eng C Mater Biol Appl, 2019, 99:367-373.
[12] Rungsiyakull P, Rungsiyakull C, Appleyard R, et al. Loading of a single implant in simulated bone [J]. Int J Prosthodont, 2011, 24(2):140-143.
[13] Rungsiyakull C, Rungsiyakull P, Li Q, et al. Effects of occlusal inclination and loading on mandibular bone remodeling: a finite element study [J]. Int J Oral Maxillofac Implants, 2011, 26(3):527-537.
[14] 卫敏捷,赵红波.种植局部固定义齿上部修复结构机械并发症的影响因素分析[J].口腔颌面修复学杂志,2020,21(4):206-209.
[15] Stoichkov B, Kirov D. Analysis of the causes of dental implant fracture: A retrospective clinical study [J]. Quintessence Int, 2018, 49(4):279-286.
[16] 李熠,尉华杰,邱立新.种植体折裂的临床分型与临床治疗方案[J].北京大学学报(医学版),2022,54(1):126-133.

锥形锁柱种植系统种植体和基台折断原因分析

Analysis of Reasons for the Fracture of Implant and Abutment of Tapered Lock Post

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 7

编辑推荐

Metrics

[1]	耿双双, 王健, 杨莉, 冯欣欣, 路立花. 位点保存对牙周病患者牙周状况影响的临床研究[J]. 口腔医学研究, 2020, 36(11): 1022-1026.
[2]	李志进, 翁雁鸣, 周荣华, 杜姣, 熊才华, 董青山, 郭家平. 上颌中切牙种植累及鼻腭管的处理的初步研究[J]. 口腔医学研究, 2019, 35(10): 948-952.
[3]	韦颂观, 廖红兵. 不同冠根比种植单冠修复的临床应用进展[J]. 口腔医学研究, 2018, 34(8): 812-814.
[4]	王怡丹,欧洪波,李婷燕,李帮辉,何吉琼. 种植牙术后全身与局部用药对PCT、CRP的影响及治疗效果研究[J]. 口腔医学研究, 2016, 32(4): 388-390.
[5]	陈宇寰, 张智勇, 张晓, 孟甜, 陈全, 高巍, 刘文曙, 周团锋, 张锋. 平台转换种植体基台折断病例回顾性分析[J]. 口腔医学研究, 2016, 32(10): 1092-1095.
[6]	王买全,王永功,彭利伟,李亚东. 雷奈酸锶对骨质疏松时种植体骨结合的影响[J]. 口腔医学研究, 2015, 31(7): 673-675.
[7]	陈冬,白轶,李蓉,张玉峰,夏海斌,施斌,童昕,邓春富,尹力强. 新型骨修复材料修复种植牙骨缺损的前瞻性临床研究[J]. 口腔医学研究, 2015, 31(11): 1129-1132.